Sun Lien gave Feng Ming a guarantee, and Feng Ming, who had calmed down, finally felt a little relieved. Turn around and go out to help your future father-in-law.

"The nurse has already finished taking blood. Xu Yourong reported the progress to Sun Lien, and then asked with some confusion, "Do you think it's not lupus erythematosus?"

Sun Lienqi said, "How do you know?" When he communicated with Feng Ming just now, he was more than 20 meters away from Xu Yourong. At such a distance, the two of them deliberately lowered their voices and were talking, it was impossible for Xu Yourong to hear what they were saying.

"Your expression isn't quite right. Xu Yourong recalled for a moment and continued, "Yesterday, when you diagnosed Kaoru Kobayashi with hyperthyroidism, your eyes lit up. It's like you've found some treasure, but right now, you're wondering. ”

Sun Lien smiled bitterly and nodded, "I do ...... Feel that lupus erythematosus is unlikely. ”

If you count Kaoru Kobayashi's case, this is the second time that Xu Yourong's diagnosis has been rejected by Sun Lien. She didn't mean to be annoyed at all, but was curious, "What is the reason? I don't think your diagnosis is just based on feeling, right?"

"Three reasons. First, SLE tends to run in families. Sun Lien's brain was running at full speed, and he began to make up three reasons why he didn't think it was lupus erythematosus. "Looking at the patient's mother's performance just now, she obviously has never heard the word lupus erythematosus. This is what made me start to suspect the diagnosis. ”

Xu Yourong frowned and said, "The reason is not sufficient. ”

"Enough as an introduction. Sun Lien continued to make up nonsense, "Secondly, the symptoms are not right. You also heard it, Feng Ming said that patients need to ride an electric car to work. ”

Xu Yourong was even more confused, "I don't understand what this mode of travel has to do with symptoms. ”

Although Sun Lien made up nonsense, with the smooth production of nonsense, he actually began to have some confidence. "Riding an electric vehicle means being outdoors for a longer period of time. If she does have lupus erythematosus, UV exposure will cause the skin symptoms of the disease to appear earlier, rather than delaying them until the systemic symptoms affect the nerves. ”

Lupus erythematosus gets its name because of the skin symptoms that characterize the disease. After exposure to ultraviolet light, bright red marks appear on the skin, and the marks quickly begin to fester, persistently heal, as if they had been bitten by a wolf. This is where the name "lupus erythematosus" comes from.

When nonsense is supported by sufficient medical justification and logic, it can be transformed into a reason for diagnosis. Looking at Xu Yourong, who suddenly came to his senses, Sun Lien felt an unspeakable smug energy in his heart. It is indeed easy to make people complacent if they can bluff a medical doctor who graduated from Hopkins University.

"And what about the third reason?" Xu Yourong asked.

"The third ......" Sun Lien was still immersed in complacency, and was a little stunned by such a sudden question. After a moment of silence, he continued, "The third reason is that the symptoms are not obvious. While the diagnosis of systemic lupus erythematosus does match the symptoms present, these symptoms are not typical of systemic lupus erythematosus. ”

A disease can manifest itself in many ways. There are some symptoms that only appear in extremely rare cases. Examples include fainting caused by systemic lupus erythematosus, neurological damage manifested by hemiplegia, and transient ischemic attack indicated by the status bar. These symptoms can indeed occur in people with systemic lupus erythematosus, but they occur too rarely. Skin damage and kidney damage are the most typical symptoms of SLE erythematosus.

A patient with systemic lupus erythematosus, without typical symptoms, exhibited three rare reactions? Sun would rather believe that this was a diagnostic error than a coincidence. There will be no coincidences in medical diagnosis, nor will it be allowed to diagnose and interpret cases with coincidences.

Xu Yourong thought for a long time, nodded and said, "What you said is reasonable." It is true that I have only recently seen rare manifestations of systemic lupus erythematosus in the literature, and it is a bit inappropriate to use these rare manifestations to extrapolate the disease. ”

"Although the probability is low, the possibility of lupus erythematosus is still there. "So I still think that a five-point rheumatism test should be done to make a clear diagnosis." ”

Although he usually likes to use the power-saving mode, Xu Yourong still understands that Sun Lien is showing goodwill. She smiled and nodded, and continued, "You insisted on an MRI because you suspected that she had a brain injury?"

The transient ischemic attack indicated by the status bar is actually the main reason why Sun Lien insisted on MRI examination. But this reason is not on the table, he can only smile bitterly, "I am not sure whether she has a brain injury or not, but fainting and hemiplegia without trauma do make me suspect that she has a brain problem." Anyway, there is no other direction of diagnosis right now, so it is better to give it a try. ”

"Bang!" a loud bang suddenly came from Qin Ya's bedside. Sun Lien was taken aback, and when he looked up, he found that the cardiopulmonary monitor next to Qin Ya's bed had been pushed to the ground. The monitor's monitor slammed face down on the floor, rolling twice to reveal the cobweb-strewn surface of the monitor.

"Bang!" Another sound sounded, and Qin Ya's right hand, which should have been unable to move because of hemiplegia, slammed into the guardrail next to the rescue bed.

Sun Lien was shocked, and pounced towards Qin Ya, shouting as he ran, "Push 10 mg of diazepam, Xiao Guo, come and help!"

Qin Ya was lying on the bed, her voice trembling, "No...... It's not me ......."

She suddenly cried, "I didn't move, it moved on its own!"

Feng Ming looked at the shattered monitor screen, his face grim.

"It can't be a mental illness. "I can tell the difference between normal people and mania." ”

Sun Lien looked at Qin Ya, who was sleeping heavily because of stability, and his face couldn't bear it, "If it's not a mental illness, it's a new symptom." ”

"Involuntary movement of limbs...... Feng Ming cursed in a low voice, "there are only organic lesions." ”

"The swing of that arm was like a dance. It could be a neostriatum tumor......" Xu Yourong said in a low voice, she paused, and still said the rest of the words, "It could also be Huntington's disease." ”

Feng Ming let out a desperate groan.

The neostriatum of the brain includes the lenticular nucleus and the caudate nucleus. These two sites are located too close to the brainstem, and the lenticular nucleus is even a structure completely encased in the gray matter of the brain, so there are few surgical options for neostriatal tumors.

Even more desperate is Huntington's disease, a genetic disorder for which there is no cure. Most of the patients are female. The new striatum shrinks as the disease progresses, and the patient loses the ability to walk, talk, move, and even swallow later in the course of the disease. In the end, he died of muscle weakness and malnutrition. Since most people suffer from involuntary chorea, the disease has a name for Huntington's disease.

And no matter which one it is, it is a terminal illness.